Individual
TINA M POLISKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2 E SOUTH ST, K-226, GALESBURG, IL 61401-4986
(309) 341-7378
(309) 341-7091
Mailing address
2760 SPRINGER RD, APT 6, GALESBURG, IL 61401-5567
(309) 368-3378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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